Individual
JOHN A ECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10597 MONTGOMERY RD STE 200, MONTGOMERY, OH 45242-4472
(513) 793-6861
(513) 985-2743
Mailing address
10597 MONTGOMERY RD STE 200, MONTGOMERY, OH 45242-4472
(513) 793-6861
(513) 985-2743
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35. 093231
OH
207R00000X
Internal Medicine Physician
35 093231
OH
207R00000X
Internal Medicine Physician
D62806
MD
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
D62806
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409289900
—
MD
01
—
EC4268931
MEDICARE PTAN
OH
Enumeration date
12/09/2006
Last updated
05/06/2021
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